PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC
NPI 1023100500
Pathology - Anatomic Pathology & Clinical Pathology in Detroit, MI

Q: What is Pathology Specialists Of Southeast Michigan PC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since September 29, 2006

22101 MOROSS RD, DETROIT, MI 48236(800) 288-8325(419) 866-5453 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Pathology Specialists Of Southeast Michigan Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC (NPI 1023100500) is a healthcare organization registered as an anatomic pathology & clinical pathology in Detroit, Michigan and active in the NPI registry since September 2006. The organization lists Basim Al-khafaji, President, as its authorized official.

NPPES Registry Identity

NPI1023100500

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NamePATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing AddressPo Box 72572Cleveland, OH 44192-0002 · (800) 288-8325 · Fax (419) 866-5453

Phone(800) 288-8325

Fax(419) 866-5453

Organization SubpartNo

Authorized OfficialBasim Al-khafajiPresident · (313) 343-3521

Enumeration DateSeptember 29, 2006

Last NPPES UpdateFebruary 19, 2025

NPPES CertifiedFebruary 19, 2025

✔ NPI 1023100500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MI · 403788

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

22101 MOROSS RD, Detroit, MI 48236

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Pathology Specialists Of Southeast Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 15 clinicians reassign Medicare billing to Pathology Specialists Of Southeast Michigan PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. They are listed nearest first.